RFP 27-88343 - Att I - Pre-Proposal Network Form_MB Anthem.docx

This is a Pre-Proposal Network Opportunities Form (Attachment I) submission for Request for Proposal 27-88343 issued by Indiana's Family and Social Services Administration, Office of Medicaid Policy and Planning, for statewide Medicaid Managed Care Organizations. The RFP solicits proposals from MCOs to provide risk-based Medicaid services across four programs—Hoosier Healthwise, Healthy Indiana Plan, Hoosier Care Connect, and Indiana PathWays for Aging—collectively serving approximately 1.5 million Hoosiers. The pre-proposal network form submission deadline was September 10, 2026, at 1:30 PM Eastern Time, with the main proposal due November 6, 2026, and a pre-proposal conference scheduled for September 10, 2026. The contract term is four years with two optional one-year renewals available at the state's discretion, for a potential total of six years. Anthem Insurance Companies, Inc., dba Anthem Blue Cross and Blue Shield, submitted this optional form with contact information for Mackenzie Blevins, Chief of Staff/Planning & Performance Director, located at their Indianapolis headquarters at 220 Virginia Ave, Indianapolis, IN 46204.

Evaluation of proposals will be based on 90 points (91 with bonus) across five categories: Adherence to Mandatory Requirements (Pass/Fail), Management Assessment and Quality (75 points), Oral Presentations (5 points), Buy Indiana Initiative (5 points), and Indiana Veteran Owned Small Businesses (5 points with 1 bonus point). The total estimated base capitation across all four programs exceeds $4.9 billion for the initial rating period, with specific PMPM rates varying by program and beneficiary type. Respondents must demonstrate current MCO service in at least one state and possess at least five years of prior MCO experience; be Indiana-licensed HMOs with NCQA accreditation by contract start or no later than the end of the second full calendar year; maintain minimum Risk Based Capital ratios of 300 percent per NAIC standards; and locate administrative offices within five miles of the Indiana Government Center in Indianapolis. Written questions are due September 11, 2026, with responses by October 2, and a second round closing October 9 with responses by October 23. Compliance performance will be subject to a pay-for-outcomes program withholding 1.85-2.25 percent of capitation payments annually from 2029-2034, with estimated recovery of 60-70 percent based on performance against HEDIS and outcome measures.